Please use this form to order our advertising services for the Armenian Yellow Pages Directory upcoming issue. Send the form on line. After
receiving your order, we will then rewrite a company Order Form for your
advertisement and mail it to you for you to sign. Thank you for your
order.

Bill
To :

First Name

Last Name

Job Title

Company

Street

City

State

Postal/Zip Code

Country

Telephone

Fax

Email

URL

S.S.N/Tax ID

D.O.B

Dr. Lic.

Please bill my credit card MC
VS
AX
DC

Name on Credit Card

Expiration Date

Business Type :

Corporation Limited
Part.

Partnership Sole
Proprietor

Home Address :

Street

Apt

City

State

Postal/Zip Code

Telephone

Type in your Special Intstructions::

Type what Your Listing should look like, if different than Billing Information:

ADVERTISING: You can also order by email or through one
of our visiting sales representatives. To order by mail: Print out the
order form, choose the appropriate size to display your business services,
fill it out, send us your copy insertion or camera-ready art,
along with a payment and your business card. We will send
you a confirmation when we receive your order.

PLEASE READ ALL LINES IN TERMS AND CONDITIONS CAREFULLY:
PUBLISHER HOLDS NO RESPONSIBILITY IN COPY OR SIZE ERRORS. You are hereby
authorized indicated by my signature to insert advertising in the following
issue (one time) of the Armenian Directory Yellow Pages or Internet Advertising,
for which I or my company promise to pay the whole and/or remaining balance
of my account subject to the DIRECTORY TERMS AND CONDITIONS
and INTERNET TERMS AND CONDITIONS.